# BEXAR COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Country Care Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780073056
- **Authorized official:** MR. GEORGE B HERNANDEZ JR. (PRESIDENT/CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (210) 358-2000

## Contact information

- **Practice address:** 2736 FM 775, LA VERNIA, TX 78121-4731
- **Practice address phone:** (830) 779-2355
- **Mailing address:** 4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
- **Mailing address phone:** (210) 358-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2015
- **Last updated:** 01/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1001004100 | — | TX |
